Thames at Mitchell College Application

Section 1

First Name

Middle Name

Last Name

Preferred Name

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone

I consent to be contacted by Mitchell College at the mobile phone number provided.

Terms and Conditions - Mitchell College

I consent to be contacted by Mitchell College at the mobile phone number provided.

Terms and Conditions - Mitchell College

Yes

No

Email Address

Please confirm your email

Birthdate

Legal Sex

Pronouns

Other Pronouns

Primary Citizenship

Race (optional)

Hispanic (optional)

Section 2

Semester you wish to enroll

*(Hidden) Admission Plan

*(Hidden)
Are you interested in applying to the Thames at Mitchell College program? This program is a pre-college transition program for students who are "college able but might not be college ready." It is for students with learning differences or who would benefit from additional preparation to succeed in college. (Please note this program is not eligible for financial aid)

Section 3

Year of High School Graduation

Most Recent School attended

School CEEB Code

School Counselor first name

School Counselor last name

School Counselor email

Why are you interested in attending Thames at Mitchell College?

Please tell us more about yourself so we can get to know you better.

Please enter your current Grade Point Average (GPA) at your current school.
NOTE: Self-reported GPAs may be used in admission decisions and must be supported by official school transcripts sent to Mitchell College in order to finalize an Admit decision. Discrepancies may result in further file review or the reversal of an Admit decision.

Veteran or Military Dependent Status

Section 4

What extracurricular activities have you been involved in? (Ex. sports, clubs, work, volunteer, family responsibilities, community service)

Activity #1 - Please describe in detail

Activity #2 - Please describe in detail

Activity #3 - Please describe in detail

Activity #4 - Please describe in detail

Activity #5 - Please describe in detail

Select your sports interests here, if applicable:
Sport #1

Sport #2

Section 5

In this section, please simply answer Yes or No to the following questions. If either answer is Yes, please provide a written explanation in the text box provided.

Have you ever been found responsible for a disciplinary violation at any school, college, university or program that resulted in probation, suspension, removal, dismissal or expulsion?

Yes

No

Have you ever been convicted of a misdemeanor, felony or other crime?

Yes

No

If you answered Yes to either question, please provide a brief explanation.

Optional Parent/Guardian Information

Parent 1 Type

Parent 1 First Name

Parent 1 Last Name

Parent 1 Email

Parent 1 Phone

Parent 2 Type

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Phone

Check that your form is complete and click Submit.

By clicking Yes, you confirm that the information you have provided on this Mobile Application is complete and true to the best of your knowledge.